SURGERY GUIDE

Insurance & Billing

 

Why am I receiving more than one bill for the same surgery?

There are a number of separate charges associated with your surgical procedure. You MAY receive charges from several of the following:

  • Matthews Surgery Center: facility services.
  • Presbyterian Anesthesia Associates: anesthesia services.
  • Your surgeon’s office: his/her fee for performing your surgery.
  • LabCorp: services for tissue specimens removed during surgery that require further examination.
  • If needed, some specialty services may require additional charges.
  • An extended home health care service.
  • Durable medical equipment vendors.

What type of payment do you accept?

We accept all major credit cards such as Visa, Mastercard, Discover, American Express and CareCredit. You are welcome to visit the CareCredit website at: www.carecredit.com to pre-apply for their services before your date of surgery.

MEDICARE

We accept assignment of benefits.

PRIVATE INSURANCE

Your deductible and co-insurance amount are due on or before your date of service. We will submit your bill directly to your private insurance company. A bill will be sent to your secondary insurance upon receipt of payment or denial from your primary insurance. If you have no secondary insurance, a bill will be sent to you for any balance after receipt of payment or denial from your insurance company. We must make a copy of each insurance card at the time of registration.

SELF PAY

You will be contacted prior to your surgery with an estimated procedure cost for your surgery. You are expected to pay 100% of the estimated cost of your surgery.

When should I expect my first bill?

We will bill you any balance due after your insurance company has paid your claim. There may be a delay if your insurance company has paid us incorrectly and we have re-submitted your claim for a corrected payment and allowance determination.

What is your credit and payment policy?

Full payment is due within 60 days of your surgery.

We strongly encourage you to personally contact your insurance company about your upcoming surgery. It is mandatory that YOU, as the insurance subscriber, confirm that all prior authorization information necessary to your specific policy is completed before your surgery date. You may be penalized by your insurance company if you don’t follow your policy guidelines. You must understand what your benefits cover and how this may affect you financially.

We will submit insurance claims for you. We may request that your deductible and co-pay amounts are paid on or before your date of surgery. You will receive a notice from us regarding the amount to pay. Self pay accounts are asked to pay 100% of the total estimated procedure on or before the date of surgery.

If you anticipate difficulty in paying your bill within the 60 day period, please let us know immediately.

Are we able to set up a payment plan?

We do ask that all balances are paid in full within 60 days of receiving your bill. If you encounter problems paying within the 60 days, please contact our office immediately at 888-844-0080 and ask for our collections department.

Do you charge interest?

No.

What if I do not have insurance?

Matthews Surgery Center (MSC) will provide charity care (free care) for qualified low – income patients for medically necessary procedures. This service, along with other community benefit services, is essential to our mission fulfillment.

 

NOTICE TO PATIENTS

A copy of our patient’s rights and responsibilities is posted in our patient lobby. If you have any complaints which arise out of these rights, Matthews Surgery Center maintains a grievance mechanism to resolve them. If you have a complaint, you may request a written response.

If you wish to direct a complaint to the North Carolina Department of Health, the address is:

Complaint Intake Unit
2711 Mail Service Center
Raleigh, NC 27699-2711

Matthews Surgery Center exists to improve the health of communities one person at a time.

Matthews Surgery Center will deliver the most remarkable patient experience in every dimension, every time.

The Matthews Surgery Center values of compassion, diversity, personal excellence, and teamwork guide our actions and behaviors as we work together to achieve our vision and further our mission.

Matthews Surgery Center is affiliated with Presbyterian Healthcare and OrthoCarolina. Matthews Surgery Center specializes in orthopaedic surgery and pain management for adult and pediatric patients.

Contact Us

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